Video & Transcript Research : 'camera mandate'
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VT
Transcript Highlights:
- or recordings taken without a person's knowledge or consent in a private setting, such as a hidden camera
- 53.440>
hidden in a private setting, such as a hidden in a private setting, such as a hidden camera - <00:18:55.440>
Non-consensual camera in a restroom. Non-consensual camera in a restroom. - <00:25:50.400>
in <00:25:50.559>a <00:25:50.640>makeshift had set up cameras - in a makeshift had set up cameras in a makeshift changing<00:25:51.440>
room <00:25:51.840>
Summary:
The House convened, suspended its rules to introduce 18 bills by number only, and referred the bills to the appropriate committees. House Bill 647, relating to the Vermont Sister State Program and carrying an appropriation, was referred to Appropriations under House Rule 35A. The chamber also read several resolutions: HR13, concerning support for the people of Palestine and Israel and the end of apartheid, was treated as a bill and referred to Government Operations and Military Affairs; JR88, condemning a U.S. military incursion in Venezuela and calling for withdrawal of U.S. forces, was likewise referred to Government Operations and Military Affairs; and JRS37, supporting gender equality in Nordic combined Olympic competition, was referred to Commerce and Economic Development. JRS39, a weekend adjournment resolution, was adopted in concurrence.
On the action calendar, the House passed H541, relating to interference with voters and election officials. It then took up H5, which expands Vermont’s existing hearsay exception for child victims from age 12 and under to age 15 in specified abuse and sexual assault proceedings, with judicial safeguards and a July 1, 2026 effective date. The Judiciary Committee reported the bill favorably 10-1, and the House adopted the committee amendment and ordered third reading.
The House also considered H626, a major Judiciary Committee bill on voyeurism, non-consensual disclosure of explicit images, and sexual extortion. Committee members described the bill as updating criminal and civil remedies for image-based abuse, creating a separate sextortion offense, extending criminal statutes of limitation, and clarifying civil recovery for trauma-related harm. During floor debate, members questioned the distinction between the voyeurism and disclosure provisions and the meaning of “reasonable expectation of privacy”; the committee responded with examples and statutory explanations, including that voyeurism covers unlawful recording while the disclosure offense covers later dissemination of images. The bill remained under consideration as the discussion continued.
NM
New Mexico 2025 Regular Session
IC - Legislative Finance Jun 24th, 2025
Transcript Highlights:
- Senator: Well, we're under a mandate by the courts.
- And if the courts are mandating it on us...
- Why shouldn't the legislature mandate it on the school districts?
- If... it's mandated by us, then we should mandate it on them and if they don't follow the mandates, then
- They filed the suit and the court's mandating it and they're not... participating in the mandates that
NH
New Hampshire 2025 Regular Session
House Finance Division I (02/05/2025)
Transcript Highlights:
- What do these cameras cost per camera?
- Yes, we currently have a statewide contract where it's $45 per month per camera.
- Yes, we currently have a statewide contract where it's $45 per month per camera.
- So it's for 520 body-worn cameras at $45 per month, and then we have technically 110 vehicle cameras
- we have technically 110 vehicle cameras we have technically 110 vehicle cameras because<04:25:46.520
Summary:
The committee heard an overview from the Agriculture Commissioner on the department’s major divisions and staffing. He described the Office of the Commissioner, Agricultural Development, Pesticides, Regulatory Services, Weights and Measures, Animal Industry, Plant Industry, and Soil Conservation, noting that many programs are federally funded or supported by dedicated fees and fines. He said the department has 44 full-time positions plus one DoIT employee shared with other agencies, and that HR services are now contracted through Administrative Services. He also explained that Soil Conservation is administratively attached to the department and funded through Moose Plate grants and county contributions, not direct state funding.
Members asked about specific program functions and issues, including weights and measures inspections, animal health, bird flu response, internships, invasive species, and the Big E/New Hampshire building. The commissioner said weights and measures covers nearly all commercial measuring devices and products sold by weight, and that inspectors are currently part-time police officers, though the department is discussing removing that requirement. He said the department is actively involved in bird flu monitoring, including regular calls with USDA and the state veterinarian and collecting milk samples from dairy farms. On invasive species, he focused on Japanese knotweed and bittersweet, saying the department has only one staff person working on the issue, mainly as a coordinator with DOT and towns, and that eradication is extremely difficult. He also said the department does not run student internships and refers inquiries to UNH Cooperative Extension.
The committee discussed budget and revenue issues, including three new general fund positions, one of which is the assistant commissioner and another a biological scientist for invasive species. The commissioner said the department had been in “triage mode,” that an assistant commissioner was needed because of workload, and that the department is a net positive to the General Fund each year. He said some fees and fines have not been updated in decades and would require legislation to change, including a proposed $5 fee for each animal database certificate to help fund a system that costs about $250,000 annually to maintain. In response to questions about budget reductions, he said the department protected personnel, reduced the cost-of-care fund, fair grants, and land preservation funding to about $25,000 each, and did not plan to buy new vehicles or computers. He also said he could not support including the $50,000 Conservation District resilience grant program in his budget under the current reduction targets, though he remained hopeful it might be funded another way.
LA
Transcript Highlights:
- It provides relative to video and audio recordings from cameras installed in self-contained classrooms
- What this bill does is it simply, you know, we required cameras to be in classrooms, in special education
- that he could designate to be with him on the initial viewing or designate two people to view the camera
Summary:
The House Education Committee met on April 29, 2026, with a quorum present and heard several higher education and K-12 bills. SB 234 by Sen. Presley, which would provide grading for medical school students, was briefly discussed and reported favorably without objection. SB 142 by Sen. Reese, dealing with continued management and oversight of Board of Regents support fund matched endowments if a related constitutional amendment passes, drew questions about endowment matching, oversight, and the roughly $75 million in unmatched requests; it was also reported favorably without objection. SB 482 by Sen. Reese, expanding the role of career coaches in middle and high school graduation planning and reporting on career development fund spending, received support from BESE and others, with committee members discussing counselor workload and district flexibility; it was reported favorably without objection.
The committee then took up SB 64 by Sen. Hodges, which would require two people to review initial video/audio recordings from cameras in self-contained classrooms when complaints arise, and the bill was reported favorably without objection. HB 1063 by Rep. Owen, a broad higher education governance bill that would increase board oversight of curriculum, hiring, faculty senates, and discipline, generated extensive discussion and testimony from Rep. Owen and a representative of Parents Defending Education Action, but the author said he did not want to vote on it yet and moved to voluntarily defer it; the committee agreed without objection.
HB 818 by Rep. Riser, as amended, was converted into a reporting bill requiring public inventories and state reporting on assessments, with Cynthia Posey of the Louisiana Federation of Teachers explaining the amendments; the committee adopted the amendments and reported the bill favorably with one opposition card noted. Finally, SB 28 by Sen. McMath, carried by Rep. Carver, would lower the age for associate teachers from 25 to 21 to help address the teacher shortage; Department of Education staff said the change could expand the pipeline, and the bill was reported favorably without objection. The committee also announced it would meet the following week on Wednesday, May 6, and then adjourned.
WV
West Virginia 2026 Regular Session
Senate in Session Mar 11th, 2026 at 08:02 pm
West Virginia Senate Floor Meeting
Transcript Highlights:
- Engrossed Committee Substitute for Committee Substitute for House Bill 4995, requiring the use of video cameras
- Engrossed Committee Substitute for Committee Substitute for House Bill 4995, requiring the use of video cameras
- Engrossed Committee Substitute for House Bill 4995, requiring the use of video cameras in certain special
AZ
Transcript Highlights:
- So no Tenet SIM cards, none of the Flock camera stuff with all the debates that came around.
- I've seen... ...SIM cards, none of the Flock camera stuff with all the debates that came around.
- Maybe we turn the cameras off and maybe the speaker not listen, maybe the speaker not listen, but it
Bills:
HB2809
Keywords:
cybersecurity, post-quantum encryption, CMMC 2.0, state agencies, data protection, US-based vendors, 1182, all
Summary:
The Committee on Science and Technology heard two informational presentations before taking up its only bill, HB 2809. The first presentation, from the University of Arizona, focused on fusion energy research and commercialization. The presenter described fusion as a clean, safe, long-term energy source with major potential for Arizona, emphasized growing U.S. and Chinese investment in the field, and argued that Arizona could become a hub for fusion supply chains, talent, and deployment. Members asked about timelines, regulation, and how fusion might compare with small modular reactors and other energy sources; the presenter said fusion could be commercially deployable in roughly 12 to 15 years if public-private investment continues. The second presentation, from XRDNA, described a spatial-temporal addressing system for physical objects and events, aimed at improving coordination across space, infrastructure, logistics, and defense. The company said it is testing with Space Force and launch providers, uses AI provenance tools, and sees its main near-term use case in logistics and space operations.
HB 2809 would require state agencies handling sensitive data, including elections, public safety, benefits, finance, and infrastructure information, to implement post-quantum encryption meeting or exceeding CMMC 2.0 validation, using a U.S.-based vendor and U.S.-developed, manufactured, or maintained components. An amendment clarified that agencies would not be required to connect offline systems to the internet to install encryption, and that agencies could use offline methods such as removable media. The sponsor argued the bill is needed because Arizona’s legacy systems are vulnerable, cited prior cyber incidents and audit findings, and said the bill would secure data even on older systems while keeping the encryption key with the Auditor General. Members generally supported the concept but raised questions about implementation, costs, the Auditor General’s role, and the need for more stakeholder input. No one signed in opposition; the Secretary of State’s office was noted as neutral.
The committee adopted the Pingarelli amendment and then passed HB 2809 as amended on a 9-0 vote, giving it a due pass recommendation. Several members explained their yes votes as support for the bill’s goal while emphasizing the need for careful implementation and broader discussion. The meeting then adjourned.
NY
New York 2025-2026 Regular Session
Senate Standing Committee on Environmental Conservation - 01/20/2026
Environmental Conservation
Transcript Highlights:
- amend the Environmental Conservation Law in relation to authorizing the installation of surveillance cameras
- amend the Environmental Conservation Law in relation to authorizing the installation of surveillance cameras
Summary:
The New York State Senate Environmental Conservation Committee held its first standing committee meeting of the year, led by Chair Pete Harckham and Ranking Member Dan Stec. Harckham opened by emphasizing the committee’s productive, cordial approach and noted that federal environmental policy changes may require the state to take on more responsibility. Stec highlighted a potential area of future work involving constitutional amendments related to closed prisons in the Adirondacks and other Forest Preserve counties, framing it as both an environmental and economic issue.
The committee then took up a 15-bill agenda of repasses, with members generally offering brief comments and moving the bills forward. Measures advanced included bills on wild or exotic animals, a parkland alienation exemption for renewable energy projects, civil penalties, surveillance cameras, lifetime licenses for honorably discharged disabled veterans, coal tar in pavement products, toxic substances in playground surfacing, toxic air contaminants, fee disposition, major project public participation in disadvantaged communities, PFAS discharge disclosure, license fee waivers for certain first responders, emergency additions to invasive species lists, and a bottle redemption fraud task force. Most bills advanced unanimously or with little opposition; the civil penalty bill and the coal tar bill each drew one nay, and one bill on fee disposition was referred to Finance.
During discussion of the PFAS disclosure bill, Senator May said DEC had recently issued new guidance on PFAS disclosure in wastewater treatment, but argued the bill was still needed because it would apply more comprehensively to all SPDES permit holders statewide. The meeting concluded with Harckham thanking members and staff, asking legislators to submit new bills or completed work for committee review, and directing them to send materials to Marie Kelly and counsel staff for follow-up.
MS
Mississippi 2026 Regular Session
MS House Floor - 21 January, 2026; 2:00 PM
Mississippi House Floor Meeting
Transcript Highlights:
- I want to make sure that if I do decide to sign the form or say it to a camera or whatever, I opt out
- <00:42:50.319>
I <00:42:50.560>do <00:42:50.800>not camera or whatever, I opt - I do not camera or whatever, I opt out.
- So have your camera ready. If Mr.
- So have your camera leave here today.
Summary:
The House opened with prayer, the Pledge of Allegiance, a quorum call, and several guest introductions, including a pastor, a doctor of the day, medical students and physicians for MSMA White Coat Day, and visitors in the galleries. The chamber then moved to the calendar and took up House Bill 314, the Ibogaine Treatment Drug Development Grant Program Act. The sponsor described ibogaine as a potential treatment for opioid use disorder, PTSD, traumatic brain injury, depression, and related conditions, emphasizing that the bill would not legalize the drug but would authorize the State Department of Health to fund a consortium for FDA-regulated clinical trials with private matching funds, a university and hospital partner, and a requirement that at least 20% of commercialization revenue go to the state. Members asked about VA involvement, whether the trials would serve veterans or civilians, how the drug would be administered and monitored, why a statute was needed, and the source of the proposed state funding. The bill passed by a vote of 110 yeas and 1 nay.
The House then considered House Bill 534, as a committee substitute, creating the Mississippi Health Exchange, a statewide health information exchange for real-time sharing of admission, discharge, transfer, and related patient information among hospitals, clinics, payers, and public health officials. The sponsor said the system would improve continuity of care, help with bed availability and mental health placements, and support public health analysis while protecting privacy through HIPAA compliance, an opt-out process, and limits on access to identified data. The bill would require hospitals, community mental health centers, and state hospitals to participate as a condition of licensure, designate a single nonprofit operator selected by the Department of Health, and create a fund for implementation and cybersecurity costs.
Members questioned the bill about privacy protections, the opt-out process, whether data could be sold or shared improperly, costs to hospitals, whether hospitals and the hospital association supported the measure, and how the exchange would work in transfer scenarios. The sponsor said the bill would make unauthorized sharing illegal, that most hospitals already participate in some form of HIE, and that the exchange would not cost the state anything immediately because there was no appropriation attached. The discussion also noted possible help from rural transformation funding. The transcript ends during continued questioning of House Bill 534, before final passage or other action is shown.
KY
Kentucky 2025 Regular Session
Interim Joint Committee on Transportation (10-14-25)
Transcript Highlights:
- Highway work zone cameras. I'm going to speak from my chair. Just be very brief.
- The cameras are starting to be tested.
- KSP is training troopers in the use of the technology so that when the cameras do detect a speeder and
- Highway work zone cameras. I'm going to Highway work zone cameras.
- The cameras are starting to be tested.
Summary:
The Interim Joint Committee on Transportation approved the minutes from its September 16 meeting and then heard a presentation from Jason Sawala, deputy state highway engineer with the Kentucky Transportation Cabinet, on rest areas and truck parking. He described Kentucky’s system of eight welcome centers, 14 rest areas, and four truck havens, and said the Cabinet spent just over $12 million in fiscal year 2025 to operate and maintain those facilities. He also explained that the Cabinet’s truck parking study found truck parking demand has increased 24% since 2012, driven by just-in-time delivery, stricter hours-of-service and electronic logging requirements, and fewer drivers.
Sawala said the study looked not only at Cabinet-owned facilities but also private truck stops and lots, and identified unmet parking demand across the state, especially at 1:00 a.m. He noted that 11 sites, mostly existing rest areas, weigh stations, or welcome centers, were identified as promising expansion locations, with estimated project costs in the $30 million to $36 million range in 2022 dollars. He said the Cabinet is working on design and project development for those sites and is seeking federal funding opportunities where available.
Members raised concerns about safety, congestion, and trucks parking on ramps or in residential areas, and several asked about funding, charging for parking, and whether autonomous vehicles might reduce future demand. Sawala said the 820 public rest-area spaces are marked spaces only, that he was not aware of any state charging for public truck parking, and that federal programs can help fund some expansions. He also said he was not aware of local-government parking programs offhand but would look into it. Members generally emphasized the importance of truck parking for safety, commerce, and avoiding burdens on local communities.
NH
New Hampshire 2026 Regular Session
House Commerce and Consumer Affairs (04/15/2026)
Commerce and Consumer Affairs
Transcript Highlights:
- So there would be significant trade-offs if this mandate for the Medicaid program to mandate for the
- healthcare providers we accept mandates healthcare providers we accept mandates when<02:19:49.280
- <02:31:59.520>
12 similar bill in Maine mandating 12 similar bill in Maine mandating 12 visits - It does not mandate coverage or set rates.
- It does not mandate intervention.
NH
Transcript Highlights:
- For example, ATCs are already required to maintain robust security systems, including video cameras,
- c><00:39:53.520>
video security systems, including video security systems, including video cameras - , uh some record uh recording cameras, uh some record uh recording continuously<00:39:57.200>
in - The operations that I've seen around the country are very secure, with fencing, cameras.
- <00:53:30.079>
in requirements, including video cameras in requirements, including video cameras
NM
New Mexico 2026 Regular Session
Senate Chamber Jan 27th, 2026 at 11:14 am
New Mexico Senate Floor Meeting
Transcript Highlights:
- And unanimous consent to allow cameras on the Senate floor. So ordered.
- And unanimous consent to allow cameras on the Senate floor and in the Senate gallery.
- I'm sure they've all got cameras. It really is a good turnout.
- The cameras are allowed both in the gallery and on the floor. Senator Padilla. Thank you, Mr.
MN
Minnesota 2025-2026 Regular Session
Press Conference: State Public Safety Leaders Discuss Capitol Security - 07/29/25
Transcript Highlights:
- Our team includes more than 100 dedicated staff and is supported by a robust network of cameras that
- than 105,000 alarms and automation points, nearly 400 emergency intercoms, almost 1,000 security cameras
- If something feels wrong or suspicious, please say something. cameras, and more than 1500 card cameras
HI
Hawaii 2025 Regular Session
TRN Public Hearing - Thu Apr 10, 2025 @ 10:00 AM HST
Transcript Highlights:
- Transportation and Department of Law Enforcement to study the possibility of a highway patrol and speed cameras
- <00:17:21.760>
patrol <00:17:22.480>and <00:17:22.799>speed <00:17:23.120>cameras - <00:17:23.520>
along a highway patrol and speed cameras along a highway patrol and speed cameras
Summary:
The House Committee on Transportation heard and later voted on several Senate resolutions related to transportation, safety, and infrastructure. Early testimony covered STR 23, on studying highway patrol and speed cameras in speeding hotspots, with support from the Department of Transportation and the Aahu Metropolitan Planning Organization and opposition from five individuals. STR 37 and STR 38 concerned Maui road planning for the Kihei area; the Kihei Community Association and DOT supported both, and the committee later advanced them with amendments to correct the county department with jurisdiction. STR 150 SD1, on a working group for subsidizing waterborne cargo transport, drew support from DOT, the Department of Agriculture, and industry groups, but the committee deferred it for further discussion. STR 153, about transferring jurisdiction over Ho‘i roads to Maui County, received support from the judiciary and was advanced with amendments. STR 180 SD1, on sharing safety and performance information about commercial tour operators, drew mixed testimony, including opposition from DOT and helicopter operators and support from Blue Hawaiian Helicopters; the committee advanced it with amendments narrowing the scope to helicopter and air tours. STR 181 SD1, proposing a working group to lower the blood alcohol limit to 0.05, was supported by DOT, the Governor’s office, public health and safety groups, and one individual opposed; it was advanced with amendments naming the DOT director or designee as chair and adding legislative committee chairs. STR 182, encouraging a Honolulu summer streets pilot program, was supported by the Department of Health, Oahu MPO, and the Hawaii Bicycling League, and after reconsideration the committee passed it unamended. STR 184, seeking increased enforcement against improperly registered out-of-state vehicles, had one supporter and was passed as is. STR 200 SD1, on continuing transportation management training programs, was supported by Oahu MPO and one individual and was passed as is. STR 231 SD1, directing DOT to use scanning equipment at airports and harbors to detect illegal fireworks, was supported by DOT and one individual and passed as is.
MN
Minnesota 2025-2026 Regular Session
Committee on Rules and Administration and Rules Subcommittee on Committees - 02/21/25
Transcript Highlights:
- There's a sentence added that says witnesses participating can turn off their cameras if they're having
- participating can turn says Witnesses participating can turn off<00:05:01.639>
their <00:05:01.880>cameras - <00:05:02.320>
if <00:05:02.440>they're <00:05:02.600>having off their cameras - if they're having off their cameras if they're having internet internet internet problems<00:05:05.280
MN
Transcript Highlights:
- to<00:37:45.359>
get <00:37:45.440>in <00:37:45.599>the <00:37:45.760>camera - Tell Dean to get in the camera, Yeah. Tell Dean to get in the camera, would<00:37:46.240>
you? - Dean, would you please get in the camera? camera? camera? Hello<00:37:54.000>
there. - might be one or two here that don't know, that former state Representative Dean Erdall is on the camera
- And I've been to this camera as well.
Keywords:
cultural heritage, funding, White Earth Nation, tribal community, construction, Delano, sesquicentennial, community events, fall of Saigon, Saigon anniversary, Vietnam War commemoration, Vietnamese Minnesotans, Cambodian Minnesotans, Lao Minnesotans, Southeast Asian refugees, Asian American heritage, cultural heritage fund, Minnesota Humanities Center, Council on Asian Pacific Minnesotans, equity funding
MN
Minnesota 2025-2026 Regular Session
Working Group on Omnibus Taxes Bill - Part 1 - 05/22/25
Minnesota Senate Floor Meeting
Transcript Highlights:
- Madam Chair, would it be better if I turned off my camera for the sake of the internet and for the rest
- Madam Chair, would it be better if I turned off my camera for the sake of the internet and for the rest
- Madam Chair, would it be better if I turned off my camera for the sake of the internet and for the rest
- Madam Chair, would it be better if I turned off my camera for the sake of the internet and for the rest
- for the sake of uh the internet camera for the sake of uh the internet and<00:21:00.880>
for <
NH
New Hampshire 2025 Regular Session
Senate Election Law and Municipal Affairs (04/15/2025)
Election Law and Municipal Affairs
Transcript Highlights:
- Um, and I don't really have a huge issue with a camera crew coming through.
- Um, and I don't really have a huge issue with a camera crew coming through.
- Um, and I don't really have a huge issue with a camera crew coming through.
- Um, and I don't really have a huge issue with a camera crew coming through.
- Um, and I don't really have a huge issue with a camera crew coming through.
OK
Oklahoma 2026 Regular Session
Appropriations and Budget Education Subcommittee Jan 21st, 2026 at 01:00 pm
A&B Education Subcommittee
MA
Massachusetts 2025-2026 Regular Session
Joint Committee on Health Care Financing Jun 21st, 2026 at 01:00 pm
Joint Committee on Health Care Financing
Transcript Highlights:
- If you are participating remotely on Teams, please remain muted with your camera off, as I said, until
- First, it would mandate a 5% increase in minimum payment rates for behavioral health services, including
- First, it would mandate a 5% increase in minimum payment rates for behavioral health services, including
- I just need to find the camera thing. Thank you so much.
Summary:
The Joint Committee on Health Care Financing held a public hearing on a large docket focused on primary care, workforce development, and medical debt. Chairs Cindy Friedman and John Lawn outlined hearing procedures and noted that testimony would be taken on 17 matters. The committee first heard testimony on bills to establish a community health center nurse practitioner residency program and to strengthen mental health centers. Senator Keenan, Rep. Keefe, and health center leaders described the Worcester nurse practitioner residency as a successful pipeline and retention strategy, citing workforce shortages, training needs in community health centers, and the cost of the program. Rep. O’Day also supported the mental health centers bill, saying it would raise payment rates, improve reimbursement for behavioral health services, and help clinics retain staff and expand access.
The committee then took testimony on bills to address medical debt through hospital financial assistance reform. The Attorney General’s Office, Health Care for All, Health Law Advocates, the Leukemia and Lymphoma Society, and individual patients supported the measure, arguing that hospital financial assistance policies are inconsistent, hard to find, and difficult to navigate. Witnesses said the bill would standardize eligibility criteria, create a uniform application, improve notice requirements, and expand access to discounted care up to 400% of the federal poverty level. Several personal stories described medical bills being sent to collections, confusion over insurance billing, and the burden of debt on low-income and chronically ill patients. Committee members asked about hospital concerns, the role of the health safety net, and whether the bill addressed root causes of medical debt; testimony emphasized that the proposal was meant to improve transparency and access rather than replace broader insurance reforms.
The hearing also focused heavily on “Primary Care for You” legislation, H. 1370 and S. 867, which would increase primary care investment and create a new payment model. Rep. Haggerty, physicians, a patient, community health center leaders, and the Massachusetts League of Community Health Centers described a primary care crisis marked by low reimbursement, staffing shortages, long waits, burnout, and difficulty recruiting clinicians. Supporters said the bills would shift spending toward preventive, team-based care, improve access and equity, and reduce long-term costs. The Massachusetts Association of Health Plans said it was directionally supportive of increased primary care investment but warned that any new spending must stay within the cost growth benchmark and preserve existing contracting structures. The hearing ended with additional testimony on a community health center workforce and loan repayment grant bill from Rep. Stanley, and with further discussion from Dr. Alan Garo about the need for payment reform in primary care.